Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XHOVANA LUCA (PHARMACY INTERN)
(480) 258-5416
Entity
Organization
Contact information
Practice address
15355 N NORTHSIGHT BLVD, SCOTTSDALE, AZ 85260-2603
(480) 348-0401
Mailing address
3845 E KINGS AVE, PHOENIX, AZ 85032-3268
(480) 258-5416
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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